JP2003178137A - Information system for assembled-type medical care tenant - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To enable the calculation of charges for each clinic for their use of synergically usable medical appliances in an assembled-type medical care tenant according to the using status of each clinic. <P>SOLUTION: Examination ordering information, with medical department identification determined in advance attached thereto, is transmitted from an ordering terminal 110. Information on actually performed examinations is transmitted from RIS210, with medical department identification again attached thereto. In a medical accounting system 310, charge is calculated for each medical department on the basis of examination-related information including medical department identification. <P>COPYRIGHT: (C)2003,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an information system for handling medical information used by a collective medical tenant (also referred to as a medical building or medical mall) in which a plurality of medical offices gather in one place to provide medical treatment. The present invention relates to an information system for calculating a usage fee for each clinic in various examination departments such as an image examination department and a physiological examination department which are jointly used by a plurality of clinics.

[0002]

2. Description of the Related Art In recent years, an increasing number of doctors are practicing in collective medical tenants where a plurality of clinics gather in one place to provide medical treatment. By gathering a wide variety of clinics in one place, it is expected that there will be synergistic effects in terms of the affected area and the ease of cooperation among clinics. Then, inspection equipment used for various inspections (X-ray imaging apparatus, X-ray CT apparatus (also referred to as CT), magnetic resonance imaging apparatus (also referred to as MRI),
Various diagnostic imaging devices such as an ultrasonic diagnostic device and a nuclear medicine diagnostic device, a bone mass measuring device, an automatic analyzer, etc. are used in common in the imaging examination department, physiological examination department, pathological examination department, and the like. The collective medical tenant is described in “Nikkei Healthcare 21 June 2001, pp. 18-29”.

[0003]

In the collective-type medical tenant, the usage fee for the jointly used test equipment is to be paid to the owner of each of the medical equipment from each clinic. However, there is no computer system that manages and calculates the usage fee for each clinic according to the usage status. In addition, even in hospitals that employ an independent profit system for each department, there is no computer system that manages and calculates usage fees according to the usage status for each medical department.

Therefore, the present invention solves the above-mentioned problems, and in a collective medical tenant, a medical information system for calculating the usage fee for each clinic according to the usage status of the jointly used testing equipment for each clinic. It is intended to provide.

[0005]

In order to solve the above-mentioned problems, the present invention includes a plurality of medical departments and a joint department in which inspection equipments jointly used by a plurality of medical departments for inspection are installed. Connected to a computer network system that is used in collective medical tenants and that includes an ordering terminal that transmits ordering information for examination orders and an examination information management unit that transmits examination information regarding examinations performed based on the ordering information. An information system, a means for receiving test information based on a test performed by a test device including identification information for identifying a medical department transmitted from the ordering terminal, and a relationship between the test information and the billing information. From the storage means for storing the table shown, and the received inspection information and the table, the usage fee of the inspection device is given for each medical department. Characterized in that it comprises a calculation unit configured to output. Further, the inspection information is at least modality information, imaging part information, imaging method information, inspection time information,
It may be configured to include any one of the inspection device usage time information, the number-of-images information, and information indicating the degree of difficulty of image acquisition. Further, it is possible to further include a display unit that collectively displays the calculated usage fees in units of a predetermined time for each medical department. Also, ordering that transmits ordering information for test orders used by collective medical tenants that include multiple medical departments and a joint department where testing equipment that is jointly used by multiple medical departments for testing is installed. An information system connected to a computer network system including a terminal and a test information management means for transmitting test information relating to a test performed based on ordering information, for identifying a medical department transmitted from the ordering terminal. From the examination information generated based on the examination performed by the examination device including the identification information of the examination device and the table showing the relationship between the examination information and the billing information, the usage fee of the examination device is calculated for each medical department. Good.

[0006]

DETAILED DESCRIPTION OF THE INVENTION An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 shows the concept of a computer network system in a collective medical tenant according to this embodiment.

The collective-type medical tenant is composed of at least a plurality of medical departments 100A as independent medical offices.
00B ..., an inspection department 200 as a joint department in which various inspection devices are installed, and a medical accounting department 300 that calculates medical expenses for each patient. And each of these departments has a network interface, CP
U, RAM, memory such as ROM, and a computer system to be described later including a server including a CPU, a personal computer, a workstation, and the like are installed, and these include a local area network (LAN) as communication means. Communication lines 400, 410
And the computer network system is constructed.

The medical department 100 includes internal medicine, surgery, pediatrics,
It is a department such as an otolaryngologist in which a doctor treats a patient, and each medical department 100A, 100B ... Has an ordering terminal 1 for requesting an inspection to the inspection department.
10A, 110B ... are installed. These ordering terminals are connected to the medical information server 120 via the communication line 400. From this ordering terminal, patient identification information (patient personal information such as patient name, patient ID, etc.), modality information, imaging region information, information regarding imaging methods, and the like are input as an order for patient examination. Then, the input information and the medical department identification information (also referred to as medical department ID) predetermined for each medical department.
The examination order information including and is transmitted from the ordering terminal to the medical information server 120.

The medical information server 120 is a computer system that electronically stores and manages patient medical information such as electronic medical record information in the collective medical tenant, and orders the data stored in the medical information server 120. It is possible to appropriately read and refer from the terminal, and further, it is possible to add or change additional information to the content read by the input from the ordering terminal. The examination order information input from the ordering terminal is transmitted to the medical information server 120 and stored in the medical information server 120. In the ordering terminal 110 and the medical information server 120, program data of software for executing these processes is stored in advance.

The examination department 200 is a department that performs various examinations on a patient in response to an examination request from the medical examination department, and is a radiation as an examination information management means for receiving examination order information transmitted from the medical information server 120. Department information system 210 (also referred to as RIS), MRI 220, CT2 as inspection equipment (also referred to as modality) that actually performs inspection by receiving inspection order information from RIS 210
30 and an image data server 240 (also referred to as PACS) for storing image data obtained by the modality are installed. In addition, information regarding the actually performed inspection (also referred to as inspection information) is obtained from the modality RIS21.
0 to the medical information server 120 from the RIS 210.
And stored in the medical information server 120. The examination information includes modality information, imaging part information, imaging method,
The information includes the inspection time, the inspection equipment use time, information such as the name and number of technicians who performed the inspection, the number of images, and the difficulty level of image acquisition. The final examination information created by the RIS 210 includes the medical department ID and is transmitted from the RIS 210 to the medical information server 120. Software program data for executing these processes is stored in advance in the RIS 210.

Further, the inspection department 200 may be provided with a radiogram interpretation terminal for interpreting the obtained image, and the radiogram interpretation terminal can be configured to input a radiogram interpretation report. In this case, information such as the number of reports, the time used for creating the report, the time required for image interpretation, and the number of image interpreting doctors may be added to the examination information.

For simplicity, FIG. 1 shows only MRI and CT as inspection equipment, but other inspection equipment installed in the inspection department includes other image diagnostic equipment, bone mass measuring equipment, automatic analysis equipment. The inspection device may be one inspection device or a plurality of inspection devices, as long as it is an inspection device commonly used by a plurality of medical departments such as an apparatus. Further, the inspection department may be divided into a plurality of departments, and in that case, the inspection information management means is provided in each department.

A medical accounting system 310 is installed in the medical accounting department 300. Medical accounting system 310
Receives the examination information from the medical information server 120 and other injection and drug information input from the ordering terminal via the medical information server by a network interface (not shown) as a receiving means and bills the patient. It has the function of calculating medical expenses. Furthermore, the medical accounting system 310 stores a billing information table in an internal storage device. This billing information table is a table prepared in advance showing the relationship between the inspection information and the billing information,
This table is used for the calculation of the inspection device usage fee for each medical department by the calculation means realized by software. FIG. 2 shows an example of a table used when CT is used. In FIG. 2, the usage fee is determined by the difficulty level of image acquisition, the number of shots, and the time required for one shot. Here, the difficulty level is "A",
It is shown that shooting becomes difficult in the order of “B” and “C”, and the usage fee is set to be higher if the shooting becomes difficult. The number of images that can be captured is 10 or less
l ", 11 or more and 50 or less" Med. ", and 51 or more" Large ". In addition, the usage fee is set to change depending on the time when the inspection device is used. For example, when the difficulty level is B, the number of captured images is 40, and the usage time is 30 minutes, it is determined from FIG. 2 to 1300 yen. Then, the calculated result is, as shown in FIG.
D is added to the database. Further, the medical accounting system 310 includes a monitor as a display unit (not shown) for displaying the calculation result and a printer for printout. And medical accounting system 3
Reference numeral 10 has a function of collectively displaying the calculation results in a charge table in order to confirm and browse the charge information for each medical department on a monthly basis. An example of this billing table is shown in FIG. For each medical department, display a graph of the monthly usage time for each inspection device, display a graph of the number of times used per month for each imaging type, and display the total usage time of the inspection device and the total number of scans. It is possible to display a billing charge or the like indicating the total monthly charge, or to display a graph of monthly charge. In the medical accounting system 310, program data of software for executing such a function is stored in advance.

Further, the usage fee calculated by the medical accounting system 310 and the monthly billing information can be displayed on the ordering terminal installed in each medical department. In addition,
The calculation result may be viewed not only from the ordering terminal but also from a computer terminal installed in the medical department and connected to the network.

Next, how the fee for using the inspection device is calculated for each medical department will be described in more detail with reference to the flowchart of FIG. Although the examination order information and the examination information are sent via the medical information server, they are omitted in the flowchart.

First, from the ordering terminal 110A, as a patient examination order, patient identification information (patient personal information such as patient name, patient ID, etc.), modality information, imaging region information, information regarding imaging method, etc. are input. To be done. Then, the inspection order information including the input information and the medical department ID is transmitted. The transmitted examination order information is transmitted to the RIS 210 via the medical information server 120.

RIS 210 which received the inspection order information
Transmits the inspection order information to the modality based on the modality information included in the inspection order information. The modality that received the inspection order information performs the inspection based on the order information. The image data obtained as a result of the inspection is transmitted to the PACS 240. In addition, the inspection information is R from the modality as the information of the inspection actually performed.
Sent to IS 210. The inspection information includes modality information, imaging part information, imaging method, inspection time, inspection equipment use time, information such as the name and number of technicians who performed the inspection, the number of images, and the difficulty level of image acquisition. Further, when the inspection department 200 performs image interpretation, an image interpretation terminal is provided which can interpret the obtained image and input an image interpretation report. In this case, information such as the number of reports, the time used for creating the report, the time required for image interpretation, and the number of image interpreting doctors is added to the examination information. RIS21
The final examination information created by 0 is the medical department ID
And is transmitted from the RIS 210 to the medical information server 120.

The medical accounting system 310 receives the examination information including the medical department ID from the medical information server 120,
Based on the examination information, the fee for using the billing information table is used to calculate the fee for using the examination device for each medical department. Further, based on the calculated usage fee, a billing table for confirming / browsing billing information for each medical department or each month is created and displayed or printed out.

Further, the usage fee calculated by the medical accounting system 310 and the monthly charge information are transmitted to the ordering terminal installed in each medical department, and the contents can be confirmed from the ordering terminal.

In the computer network system according to the present invention as described above, the examination order information is transmitted with the examination department identification information (treatment department ID) predetermined for each diagnosis department attached, and the examination order information is also transmitted. The medical department ID is attached and transmitted. Therefore, the medical department accounting system 310 uses the medical department ID based on the medical department ID.
It is possible to calculate the usage fee of the inspection equipment for each.

Since the usage fee for each medical department such as the inspection equipment installed in the joint department and the monthly charge information can be automatically calculated by the computer system,
The information can be easily browsed in each medical department, so that it can be used for cost management of its own department.

In the embodiment described above, the medical accounting system 310 calculates the usage fee and the monthly billing information of the examination equipment for each medical department. Information server 120
It may be configured to perform in. Finally, on the computer network system, it is only necessary to automatically obtain the usage fee of the examination equipment for each medical department and the monthly billing information.

Further, in the above embodiment, the medical information server 120 is used jointly by a plurality of medical departments, but it may be installed in each medical department.

Although the present invention has been described above based on the embodiments, the present invention is not limited to the above embodiments, and various modifications can be made at the stage of implementation without departing from the spirit of the invention. Further, the respective embodiments may be combined as appropriate as much as possible, in which case the combined effects can be obtained. Further, the embodiments include inventions at various stages, and various inventions can be extracted by appropriately combining a plurality of disclosed constituent elements. For example, even if some constituent elements are deleted from all the constituent elements shown in the embodiment, the problem described in the section of the problem to be solved by the invention can be solved, and the effect described in the section of the effect of the invention can be solved. If at least one of
A configuration in which this component is deleted can be extracted as an invention.

[0025]

As described above in detail, according to the present invention, in the collective medical tenant, the usage fee is charged to each medical department according to the usage status of the jointly used test equipment in each medical department. A medical information system for calculating can be provided.

[Brief description of drawings]

FIG. 1 is a diagram showing an example of the overall configuration of an embodiment according to the present invention.

FIG. 2 is a diagram showing an example of a billing information table.

FIG. 3 is a diagram showing information in a database.

FIG. 4 is a diagram showing an example of a charging table.

FIG. 5 is a diagram showing an example of a flowchart of an embodiment according to the present invention.

[Explanation of symbols]

100 medical departments 110 Ordering terminal 120 Medical Information Server 200 inspection department 210 RIS 220 MRI 230 CT 240 PACS 300 Medical Accounting Department 310 Medical accounting system

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Yoichi Tanizawa             1-1 Shibaura, Minato-ku, Tokyo Co., Ltd.             Toshiba headquarters office

Claims (4)

[Claims] 1. Ordering information for a test order, which is used in a collective medical tenant including a plurality of medical departments and a joint department in which a testing device jointly used by a plurality of medical departments for testing is installed. An information system connected to a computer network system including an ordering terminal for transmitting and inspection information managing means for transmitting inspection information regarding an inspection performed based on the ordering information, wherein a medical department transmitted from the ordering terminal is displayed. Receiving means for receiving inspection information based on the inspection performed by the inspection device including identification information for identifying, storage means for storing a table showing the relationship between the inspection information and the billing information, and the received inspection information and A set comprising: a calculating unit that calculates the usage fee of the inspection device for each medical department from the table. -Type medical tenant information system. 2. The inspection information is at least one of modality information, imaging region information, imaging method information, inspection time information, inspection device usage time information, image number information, and information indicating the difficulty level of image acquisition. The information system for collective medical tenants according to claim 1, wherein the information system for collective medical tenants is included. 3. The collective medical tenant information system according to claim 1, further comprising a display unit that collectively displays the calculated usage fee for each medical department in a predetermined time unit. 4. Ordering information for a test order, which is used by a collective medical tenant including a plurality of medical departments and a joint department in which a testing device jointly used by a plurality of medical departments for testing is installed. An information system connected to a computer network system including an ordering terminal for transmitting and inspection information managing means for transmitting inspection information regarding an inspection performed based on the ordering information, wherein a medical department transmitted from the ordering terminal is displayed. From the examination information generated based on the examination performed by the examination device including the identification information for identification, and the table showing the relationship between the examination information and the billing information, the usage fee of the examination device is calculated for each medical department. An information system for collective medical tenants characterized by the following.